Individual
KAYLEE KRISTANN DOUTHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
715 N BREWER ST, VINITA, OK 74301-1439
(918) 256-9207
(918) 256-9209
Mailing address
715 N BREWER ST, VINITA, OK 74301-1439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2052
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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